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DWAYNE ST. JACQUES MD PLLC

Organization (NPI-2) Active

Pediatrics, Adolescent Medicine

Provider Information

NPI Number
1902370349
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
15215 SOUTH 48TH STREET SUITE 110, PHOENIX, AZ, 850449375
Phone
(480) 783-8964
Fax
(480) 783-8967

Specialties & Taxonomies

Pediatrics
Pediatrics, Adolescent Medicine Primary

All Addresses

LOCATION

15215 SOUTH 48TH STREET SUITE 110

PHOENIX, AZ, 850449375

(480) 783-8964

MAILING

15215 SOUTH 48TH STREET SUITE 110

PHOENIX, AZ, 850449375

(480) 783-8964